Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.02 / $50.42 / $69.09	Facility		$48.02	$50.42	$69.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.75 / $67.56 / $113.06	Professional		$42.75	$67.56	$113.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $47.87 / $47.87 / $47.87	Professional		$47.87	$47.87	$47.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.36 / $118.56 / $242.82	Facility		$58.36	$118.56	$242.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.73 / $23.42 / $76.95	Professional		$11.73	$23.42	$76.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.83 / $91.10 / $192.91	Professional		$42.83	$91.10	$192.91
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $48.02 / $107.58 / $498.81	Facility		$48.02	$107.58	$498.81
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $48.02 / $71.59 / $135.46	Professional		$48.02	$71.59	$135.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.60 / $67.88 / $98.33	Professional		$54.60	$67.88	$98.33
United Facility/Professional Professional Modifier Low / Median / High Price $58.47 / $99.66 / $128.56	Professional		$58.47	$99.66	$128.56